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Pregnancy Alert: DVT Forms in Left Leg
Reported March 31, 2010
(Ivanhoe Newswire) -- Deep vein thrombosis (DVT) in pregnant patients
is more likely to occur on the left side, and in particular in the left leg.
"In nonpregnant patients, DVT, the formation of a blood clot, is most common
in the calf veins," Dr. Wee-Shian Chan, of Women's College Hospital in
Ontario, Canada, and coauthors wrote. "This review was conducted to see
whether this is also the case for pregnant women in order to limit
diagnostic procedures, such as x-rays, because of the effects on the fetus."
The authors reviewed 1,098 papers and found only six that met the inclusion
criteria. Despite the limited number of studies in this area, researchers
have found left-sided DVT and proximal DVT are common in pregnancy. The
increased prevalence of isolated proximal vein DVT is clinically important
because of the high risk of pulmonary embolism.
Authors conclude that until prospective diagnostic studies are available for
pregnant patients, it may be prudent to conduct a routine examination of the
iliofemoral system when a pregnant patient presents with suspected deep vein
thrombosis.
SOURCE: Canadian Medical Association Journal (CMAJ), March 30, 2010 |